gorgious benevolence present
************************
good doctor indeed
DR GOUR GOPAL CHATTERJEE MEMORIAL LECTURE ( 19--03-- 2023)
Organised by Ranaghat Homoeopathic cultural Association Venue ::-- Friends club Ranaghat 2pm noon 19--03--2023...
AN APPROACH TO PANCREATITIS
and
Homoeopathic Interpretation
by
Annesha Chatterjee
( Bigyani Kanya // Daughter of Science ,(JBNST / 2019). ,Scholer- DST Govt of India, Jagadish Bose National Science Talent.. Student MBBS ( lll* yes )
and
CHATTERJEE Ardhendu Sekhar ( cte)
Page 1
An approach to Pancreatitis , and Homoeo interpretation
The pancreas is a part of GI System that secret 20 different types of digestive enzymes into the intestine and also worked as endocrine process to produce insulin, glucagon, Somatostarin, Pancreatic polypeptide (PP) hormones.
Pancreas is an elongated, lobulated , approximately 15 cm or 6 inch in long oblong - // prismoid // leaf shaped tapered organ located as retroperitoneal structure, below the stomach, lies within the concavity of Duodenum to words soleen, at the level of transpyloric plane (L-2) close to the posterior wall of back of our body.
It is a right side of the organ, weight is approximately 80 gms, head the widest / 30% first part , and other 70% are the three parts as , neck, body, and tail extending laterally
-------------------------------
The pancreas has two essential and very important functions in the body. These are Exocrine>> digestive and Endocrine >> hormonal functions:
The digestive enzymes secreted by the exocrine gland in the pancreas help break down carbohydrates, fats, proteins, and acids in the duodenum. These enzymes travel down the pancreatic duct into the bile duct in an inactive form.
While, endocrine (production of hormones that regulate blood sugar levels.From the islets of Langerhans Alpha cells of the pancreas produce glucagon, while beta cells produce insulin. ...that regulating movement of glucose from blood into cells
********************************************
COMMON PATHOGNOMIC VARIETIES
----------------------------
Pancreatitis// pancreatic inflammation // Direct or Indirect ( secondary to GB pathology, Hyper glycaemia / Insulinimia, metastasis of cancer.
SOME MINIMUM DISCUSSIONS
--------------------------------------------------------.
1) CYSTIC FIBROSIS ::-- Fro Cystic Fibrosis Transmembrane Conductance Regulator CETR gene of Chromosome 7 that causes thickens mucus secretions , elevated Sodium Chloride ion concentration in sweat ( first experience made from mother's kiss.
2) HEREDITARY PANCREATITIS ::--. Onset at early age. Genomewide study reveal activation of Chromosome -7, Ioncohons -28, Catinotic Trypsinogen, Cohon 122 mutations with presence of other acute and chronic symptoms...
3) ACUTE PANCREATITIS ::-- Characterized with
Gradual or rapid originating Upper abdominal pain that radiates to your back · Pain aggravating after eating even drinking
Hiccup
Tenderness +++ primarily generalised , then may localised just below the epigastric region
Anorexia, indigestion - Nausea- vomiting ( may be projective or raching after discharges of food matter specially while G. Stone or Cholelithiasis or cholicystitis involves .
Changes of colour of stool , may be as clay , oily
Pyrexia Tachycardia
Shallow breathing
Hyperidrosis
Weight loss
Jaundice
Acute Complications ::- Oedema, Haemorrhage , eventually Necrosis of the gland.Haemodynamic Instability , Bacteremia, Pleural effusions, Renal failure , gastrointestinal haemorrhage. etc.
Differential Diagnosis
-----------------;------------------. Gastric ulcer, peptic perforation, cholicystitis, Intestinal obstruction, Renal calculus, Cardiac cause as Myocardial infraction Aortic anurism etc.
.
Chronic Complications ( of every types of Pancreatitis also)
------------------------------- ::-- Hyperglycemia,with or without Insulinimia, ( followed by Renal failure, HBP, Retinopathy, Encephalopathy. etc). Raised Tryglyceride 1000✓ above ( may leads to sudden blindness , death' ), Jaundice, cte
.RECURRING PANCREATITIS
--------------------------------------------
25% of Acute Pancreatitis has recurrinly relapses while the basic underlying causes are remain ( Congenital, genetic , GB stone etc.). Post Injuries complications as Cyst, pancreatic Fistula.
Among them 2 -- 4% became cancer.
CHRONIC PANCREATITIS
--------------------------------------------------
25--30% cases of acute cases are became Chronic later. Here Chronic inflammatory fibrosis , progressive destruction of both exocrine and endocrine function decorates with atrophy if the organ.
More exaggerating factors are Tobacco, Alcohol, Rich calcium, lipid, drugs ( phenacetin) , Toxin as dibutylin. DBTC etc , infection of Cytomegalo virus, mycobacterium avians, Crypto sporidiun etc ).Whatever may be, prolonged lifelong treatment has to be carried .
Investigations ::--. Plain XRay, USG, CT ( computed tomography) ; MRCP ( magnatic resonance cholangio pancreato graphy) , Invessive endoscopic ultrasonography ( EUS?
Blood--- serum amylase, lipase, LFT, Tc DC ESR. Hb% , CA 19'9,. CEA, Serum FETO Protein . If G + gamna globulin ), ANA, RA factor etc
Complication of Chronic Pancreatitis
-------------------------------------------------------------------
1) Chronicity of Chronic
2) Impaired glucose Tollerance, diabetic keto acidosis, diabetic coma,
3) Pancreatic calcification
4? Splenic vein thrombosis with Chronic inflammation of tail of Pancreas.
5) 20 years after a pancreatic calcification can changed to Ca
One French Study
-------------------------------
10 years of age Abd pain
29 years of age Steatorrhea
39 Years of age Diabetis
55 years of age Cancer
Pancreatitis with AIDS
---------------------------------------. AIDS often appeared with CMV that directly cases every diseases including Pancreatitis. moreover during treatment , some medicines of aida as Didanosine, Pentamisdine euc can cause Pancreatitis
AUTO IMMUNE PANCREATITIS
-----------------------------------------------------------
1) Mild gradual onset of symptoms
2) Diffuse swelling and enlargement of Pancreas
3) 2/3 numbers of patients has diffuse mass on head of Pancreas with or weight jaundice, mimicking Carcinoma.
4) Diffuse irregular pancreatic duct ( Amas diagnosed by MRCP/ ERCP. )
INJURIES TO PANCREAS
----------------------------
1) Blant trauma from kick etc ,
2) Accident, stabbing
3) Post operative cases of GB, Splenectomy etc.
CARCINOMA OF PANCREAS
-------------------------------------------------
Clinical features::--
1) Jaundice , total bilirubin is above 7 even 15_20 , more then 10 days ; with Pruritus, dark urine, steatorrhoea , ashy stool.
2) Hyperglycemia, back pain,
Anorexia, weight loss
DANGER SYMPTOMS ::----
-------------------------------------------
1) Age -- 60 above
2) Heart rate above 130
3) Temp :- 36--38 centre.
4) Respiratory rate -- above 20
5) Pulmonary Oxygen below 60
6) Systolic blood pressure below 90
7) Creat above 2'0
Homoeopathic managements
Complete isolation , no talking, no mouh breathing / nasal breathing. Boiled pasty liquide food without chill, heat/ hot, . no oil had to be adv. No addiction ( if any). Must lie on back or left placing head high.
Puls managements on accord of involvement of other symptoms.
APPROACH TO PANCREATITIS
The pancreas is a part of GI System that secret digestive enzymes into the intestine and also worked as endocrine process to produce insulin and other hormones.
Pancreas is an elongated, approximately 15 cm or 6 inch in long oblong - // prismoid // leaf shaped tapered organ located as retroperitoneal structure, behind the stomach, at the level of transpyloric plane (L-1) close to the posterior walk of back of our body.
It is a right side of the organ, head the widest / first part lies in the curve of the duodenum,.And other three parts as , neck, body, and tail extending laterally
-------------------------------
The pancreas has two essential and very important functions in the body. These are Exocrine>> digestive and Endocrine >> hormonal functions:
The digestive enzymes secreted by the exocrine gland in the pancreas help break down carbohydrates, fats, proteins, and acids in the duodenum. These enzymes travel down the8 pancreatic duct into the bile duct in an inactive form.
While, endocrine (production of hormones that regulate blood sugar levels.From the islets of Langerhans Alpha cells of the pancreas produce glucagon, while beta cells produce insulin. ...that regulating movement of glucose from blood into cells
********************************************
Pancreatitis// pancreatic inflammation // Direct or Indirect ( secondary to GB pathology, Hyper glycaemia / Insulinimia, metastasis of cancer.
SYMPTOMOLOGY
Gradual or rapid originating Upper abdominal pain that radiates to your back · Pain aggravating after eating even drinking
Hiccup
Tenderness +++ primarily generalised , then may localised just below the epigastric region
Anorexia, indigestion - Nausea- vomiting ( may be projective or raching after discharges of food matter specially while G. Stone or Cholelithiasis or cholicystitis involves .
Changes of colour of stool , may be as clay , oily
Pyrexia Tachycardia
Shallow breathing
Hyperidrosis
Weihht loss
Jaundice
Homoeopathic managements
Complete isolation , no talking, no mouh breathing / nasal breathing. Boiled pasty liquide food without chill, heat/ hot, . no oil had to be adv. No addiction ( if any). Must lie on back or left placing head high.
Puls managements on accord of involvement of other symptoms.
*******************
CASE NO. ONE (1)
************"******"
A case of Pancreatitis
Cured by potentised homoeopathic medicine
CN -k/m/ 1043, male , aged about 48, came on 02-08-2016 with some diagnosed papers of Alcoholic Pancreatitis. The patient was treated totally following Hanemannian ANTIMIASMATIC constitutional Treatment principles as laid down in The Organon and the patient was cured within 16 months successfully, and not developed any symptoms till 16-09-2019. The total case history I narrated below:-
PRESENT COMPLAINTS as (02-08-2016)
Patient came with father in law and wife with some diagnised papers. As I understand patient wouldnot able to narrate his real history details then I followed my curved process of case taking.
1) USG 28-06-16 =
Fatty infiltration of pancreas,
A cortical ,cyst (1'69 x 0'95cm) on upper pole of lest kidney.
LFT 03-08-16 = total bilirubin 1'5 (0'3-1'2), others WNL
Tongue - dry rough, whitish thickly coated.
Heart -- feeble.
BN 120/80, Pulse 72 PM, WT- 64 Kg
* Present problems as learns with difficulty as Anorexia, Unsatisfactory stiky stool, Burning micturation specially at summar ( common in this tropical country).
* H/0 Vertigo with sweating, better to lie on back & fanning.
This episode appears first long back, (? suppress)
2) Family Past & personal histories:-
* Father died 1975 pulmonary Tb.
*Mother died 2000 , acidity
* Four+ four brother and sisters . One sister died of burn/ not suicide(?).
* Past history of skin disease at childhoid,
Dog bite 2005-3 injections (?).
*Married 2000, two issue, 14, 7 years of age.
* Occupational-- Hocker of cloth on road shop ( not wanted to told clearly,)
Addition- tobaco snuff .
3) Generalities
* Thirst - bathing particular
,* Sweat - NP
Sleep- salivation during sleep, lies on left side. Dream NP,
*Thermal- cannot cover head/ nose at winter prefers summer weather.
* Food desire - salt, bitter, peper, warm, less sweet. Aversion to sour
*Prefers loose clothings
* Mind- loquacious, hurried, forgetful and occasional economic losses, prefers dark room during sleep. Irritable - breaking utensils.
Clavour- married s little girl trapping in love(?).
4) TREATMENTS
* R,/ STRAMONIUM 200 / two doses in 15 ml of water, to be taken at night and next morning with successive strokes.
Emargency- R,/ Stram 30/8 doses , 30 minutes intervals with strokes if any acute episode of vertigo etc developed.
Diet + addiction+ life style-as required.
Basis of Selection of Medicine & Potency-(BSMP). = STRAM was selected according to symptoms of Irritability breaking utensils, sleeps on dark room, Vertigo -relieved by lying on back
Centesimal potency choosen because I had some doubts about honesty of the patient.
5) FOLLOW UP TRESTMENTS:-
22-08-2016= lab inv reports -- T3, T4, TSH normal) WNL, Hb% 14'8, WBC. - 7609, N- 69, Ly - 27, Eosin - 03, B --01,.ESR =06,. Sugar 94(f), Chol- 134, Thy 174 (--150),. Bilirubin t-. 1'5 (0'3--1'2), ASO- 91, ECG--WNL Eco- Cardiography (n).(07-06-2016)
No further problems developed, rather improvements in all directions. Vocal fremitus Rt--+Ve.
R/ STRAMONIUM 1M, 2 doses in 15 of dist water,. To be taken respective night and mornings.with 10+10 stroke.
6) 22-08-16 no prob BP 120/80 others overall improvements.
R) STRAMONIUM 1m+30 strokes , two doses as previous.
7) 28-11-2016. Occasional weakness, others same BP 120/80. Pulse 80 Pm,
R) TUBERCULINUM BOV 200 ,. 2 doses as above
BSMP= TUB selected according to breaking tendency, Chronic to Stram.
8) 11--01--2017. Urea 27, creat 03, chokes 153. Tgy 133,. Ca. 19'9-- (<27'0). total="" bili--1'6.="" total="" protein="" --="" n.="" usg="" --pancreas="" normal,="" .="" left="" kidney="" two="" cyst="" 11'8="" x9'7.mm,="" and="" 14'0="" x="" 9'8="" mm="" and="" one="" calculus="" (2'4mm).="" prostate="" 26'5="" gems.="" pv="" residulal="" urine="" 39'1cc.="" no="" physical="" problems.="" wt="" -="" 61kg="" (3kg="" reduced).="" r/="" stramonium="" 10m="" two="" doses.="" bsmp--="" as="" unconditionally="" his="" weight="" was="" reduced.="" i="" varified="" the="" total="" history'="" and="" decided="" to="" repeats="" the="" stram.="" more="" high="" potency="" to="" neutralized="" the="" dynamic="" derangements.="" final="" comment's="" (="" as="" on="" 16--09--2019)="" as="" the="" patients="" was="" free="" from="" such="" acute="" episodes,="" so="" to="" save="" his="" minimum="" costs="" ,="" used="" to="" come="" occasionally="" too.="" during="" this="" treatment="" he="" also="" varified="" the="" case="" with="" other="" so="" big="" doctors="" of="" other="" system="" of="" medicine="" and="" on="" 10-09="" -="" 2018.="" further="" usg="" revealed="" normal="" pancreas="" ,="" kidney,="" urinary="" bladder="" while="" prostate="" 26'5="" gems..="" within="" this="" period="" according="" to="" symptoms="" i="" time="" to="" time="" prescribed="" tub="" bov="" 10m,.="" pyrigen10m,.="" psorin="" 1m,="" greatner="" 202,.="" lyssin="" 200,="" tub="" bov="" 10m,="" malandrinum="" 200(h/0="" pox),="" stram="" 50n,.="" tub="" bov="" 50m.="" patient="" previously="" brought="" to="" me="" with="" fear="" if="" danger,="" but="" hahnemannian="" discovery="" saved="" his="" life="" successfully,="" my="" lively="" friends="" are="" you="" satisfied?="" "="" """""""""""""""""""""""""""""""="" case="" no="" two="" *******""**************="" relieve="" of="" a="" case="" of="" suspected="" malignancy="" with="" pancreatic="" calculus="" that="" presented="" with="" uncontrolled="" vomiting="" and="" gastric="" pain="" within="" 30="" days="" by="" lachesis="" muta="" 0-/1--onwards="" .="" case="" no="" k/="" g)="" 752,="" women,="" 53="" came="" on="" 30_03_2022="" with="" diagnosis="" of="" pancreatic="" calculi,="" that="" previous="" doctors="" are="" declared="" as="" inoperable,="" even="" while="" not="" able="" to="" relieve="" the="" sufferings.="" fortunately,="" the="" case="" was="" started="" to="" relieve="" from="" very="" first="" dose="" of="" our="" homoeopathic="" antimiasmatic="" constitutional="" selection.="" the="" total="" history="" i="" am="" narrating="" below="" ::--="" family="" history="" :;--="" 1)="" father="" died="" 12="" years="" back,="" 60="" years="" of="" age="" on="" stroke="" 2q)="" mother="" alive="" hbp="" sugar.="" 3)="" three="" brother="" one="" sister="" (="" pt).="" youngest="" brother="" hbp.="" past="" history="" *no="" definite="" history,="" could="" not="" tell="" her="" she="" even="" .="" *only="" present="" conception="" ,="" present="" age="" 33,="" *further="" conception="" ,="" accidental="" abortion.="" *menopause="" 6-7="" years="" back.="" on="" examinations="" ::--="" *looks="" older="" than="" age.="" *="" enlarged="" thyroids="" *="" tongue="" -="" moist="" *="" anaemic="" no="" jaundice="" *="" abd.="" -="" distended="" .="" tender="" rt="" hypo,="" hypogastrium="" .="" *="" caries="" teeth,="" occasional="" pain="" agg="" on="" cold="" air.="" *="" osteoma="" on="" forehead.="" laboratory="" investigations="" :--="" 1)="" 14_03_21="" liver="" 14="" mm,="" cbd="" 2="" calculus="" measured="" as="" 14,8×15'2="" mm,="" pancreas="" nad="" #="" o1_12_2021="" urine="" analysis="" -="" protein="" -="" nil;="" phosphate="" ++;="" sugar="" ++.;="" m="" org.="" ++;="" yest="" cell="" ++.="" 2)="" 08-04-2021="" echo="" ::--="" great="" 1="" diastolic="" dysfunction.mild="" mr,="" mild="" tr="" .="" 3)="" 11="" -03-22="" --="" mrcp="" ::--="" multiple="" hypointense="" lesions="" (calculi)="" in="" the="" head="" and="" the="" neck="" of="" pancreas.="" 4)="" tsh="" --="" 3,5;="" sod="" 140;="" potassium="" 5,9,.="" urea="" 17;="" creat="" -0'6;="" sugar="" f="" 142,="" hba1c="" 7'8;="" t.="" bili="" 0'5,="" t="" protein="" 8'2="" (-'4--8'2):="" sgot="" 33,="" sgpt="" 31="" ;="" alk="" oh="" -="" 159="" hb-="" 11'4:.="" tlc="" 13100,="" n-67,.="" l-="" 30,="" m-="" 02.="" ,:e-01="" ptime="" 13'4:,="" min="" 12'8:inr="" 1:05.="" present="" complaints="" ::--="" 1)="" for="" 10="" years="" different="" types="" of="" abdominal="" problems="" as="" loose="" stool="" with="" vertigo.="" 2)="" vomiting="" of="" indigested="" food="" after="" 2-3="" hours="" of="" eating.="" 3)="" hbp="" 5-6="" years,="" 4)="" hyperglycemia="" -="" 3--4="" years.="" 5)="" pruritus="" 6)="" lumber="" pain="" ::--="" agg="" on="" moon="" phase="" 7)="" otal="" problems="" intolerance="" of="" noise.="" generalities="" ::--="" 1)="" thirst="" average,="" 2)="" stool="" -="" irregular="" day="" &="" time.="" 3)="" urine="" -="" occasional="" burning="" 4)="" andidrosis,="" now="" occasional="" flashing="" with="" hear="" &="" sweat.="" 5)="" sleep="" --="" salivation="" during="" sleep,="" lies="" on="" bending="" knees,="" insomnia="" (="" no="" definite="" answer="" giving="" more="" intelligent="" than="" me="" )="" 6)="" chilly="" :-="" preferred="" winter="" season.="" 6)="" food="" desire="" for="" salty,="" hot="" aversion="" to="" chili,="" sweet,="" sour="" intolerance="" :-="" zinger="" garlic="" 7)="" preferred="" loose="" clothing,="" warmth="" of="" sun="" at="" winter="" 8)="" memory="" :-="" forgets="" material="" placed="" where,="" what="" heard,="" slow="" in="" work="" but="" rapidly="" answer.="" analysis="" of="" the="" case="" 1)="" patient="" is="" more="" intelligent="" than="" me,="" not="" decided="" to="" give="" minimum="" changes="" of="" medicine.="" talked="" with="" son,="" son="" also="" argumentalist="" too.wanting="" guarantee="" to="" cure,="" no="" future="" chances="" of="" cancer="" will="" be="" developed="" .="" then="" i="" have="" to="" told="" them="" that="" i="" have="" to="" try="" to="" stop="" the="" vomiting="" and="" relieve="" pain="" first="" .="" and="" in="" homoeopathy="" there="" is="" no="" medicine="" to="" dissolve="" stone="" ,="" and="" we="" can="" try="" to="" relieve="" the="" pain="" problems="" etc.="" miasmatically="" it="" was="" a="" case="" of="" sycotic="" in="" nature="" (="" prolonged="" persisting="" inflammatory="" process="" of="" g="" i="" t,="" hbp,="" at="" middle="" age="" plus="" moon="" phase="" agg.="" development="" of="" climatic="" flashing="" even="" after="" menopause="" at="" proper="" time.="" .="" anyhow="" after="" westing="" of="" much="" time="" i="" choose="" lachesis="" ,="" .="" treatment="" first="" prescription="" (="" 30-04--2022)="" r/="" lachesis="" muta="" 0/1-0/4--16="" doses="" of="" each="" potency="" ,="" thrice="" or="" more="" frequent="" if="" necessary,="" according="" to="" the="" process="" laid="" down="" in="" the="" organon="" ap.--246="" )="" bsmp="" (="" basis="" of="" selection="" of="" medicine="" and="" potency="" )="" lachesis="" was="" selected="" according="" to="" symptoms="" of="" grief="" &="" suppressed="" grief,(="" intra-="" uterine="" death="" of="" babies,="" kr="" ),="" duty="" fullness,,="" extreme="" loquacity,="" suspicious="" (="" as="" verifying="" my="" knowledge="" ,="" possibilities="" of="" cure="" ).="" lies="" bending="" knees="" (="" in="" kr="" only="" ars="" bryo="" bapt="" has="" this="" symptoms,="" but="" dog,="" cat,="" snakes="" also="" has="" the="" tendency="" ).="" as="" the="" vomiting="" and="" pain="" all="" are="" projectile="" persisting="" in="" nature,="" so="" 50="" milicemal="" potency="" is="" choosen="" ,="" to="" get="" more="" wider="" scope="" of="" close="" monitering="" with="" kens="" 12="" observations.="" .="" other="" advised,="" food="" boiled,="" pasty="" without="" chili,sugar,="" sweet,="" under-="" earth="" veg:="" cold,="" 2="" hour="" intervals,="" not="" total="" satisfying="" ).="" dinnar="" -="" 2="" hours="" before="" sleep,="" and="" walk="" slowly,="" lies="" on="" left="" side="" using="" a="" pillow="" .="" adv="" lab="" inv="">> CEA SERUM FETO PROTEIN, CA 19'9
FOLLOW- UP-PRESCRIPTIONS ::--
19--04-- 2022 Complaining of Vomiting of bitterish , ratching continuously , same time / 10 pm before eating ( previously after eating <> so condition worrying (?) .. Now also nausea ratching at morning , better to lie on right side.
Other symptoms h/o toothache ( no treat done as i adv.)
Tender Rt hypo, tender upper and, Pulse 80 pm 120/80.
R/ Lach 05-010 × 16 doses × 6 phail.
BSMP = Pt told many things , but forget to tell , she not paid the minimum changes We demanding . And this only matter, if any patient forget to pay, we never tell it second time. And this practice, not shown some negetive result.
The total presentation shown that the pt was improving quickly within this short time.
02--01 --2023==>> Pt. complaints of nausea, but no further vomiting.Fever 100 , alternate chill and heat burning eyes, bitterish taste of tongue.
O.E.-- Pulse wave and tension varies, ,72 pm., 120/80. Heart -- heart rhythmic. Tender upper and. . Tongue moist rough. , dirty whitish coated. Muriel Franquet Thuillier Thuroid gland seems to R/ Nat Sulph 01--03--16×3 doses.
*************************
CASE NO THREE
********************
A CASE IF PULMONARY TUBERCULOSIS , HYPERGLYCAEMIA LATER DEVELOPED PANCREATITIS CURED BY HOMOEOPATHY
Case no K/I--522, Make, 32, came on 04--08--18.
HISTORY OF THE CASE ::--
----------------------------------------------------
1) Family History ::-- Three brothers, one bilateral divergent strabismus.
2) Past history , Bells Palsy, 10 years of age ( nothing particulars )
Bone Tb, Rt feet , operated 2012.
3) Previous laboratory investigations ::--
15-12--2017-- TLC 6200, RBC- 4'3; N- 56, Ly - 40;M- 02; E- -03; Hb- 12,2% ; Sugar Fasting 191,. pP-253,
03__07__1018 ::-- Sugar - F-78,. PP 75,. HBAIc 6'0 EAG -- 125
4) On examination ::-- Weight 48 kg, Pulse- 68 Pm, BP--110/80. Vocal F Rt ✓ve; Tongue -- moist dirty .Faces - full of deep marks of acne .Mole left cheek.
PRESENT COMPLAINTS ::-- ( 04__08__2018)
--------------------------------------------------------------------------
1 ) Recurring haemoptysis , for four years, 3--4 month intervals Last 06--07--2018
2) Body Ache - at morning
3) Respiratory distress - feels at mornings
GENERALITIES ::--
1) Thirst -- 4-5 glass X 250 ml , drinks at midnight
2) No Salivation
3) Stool::-- daily
4) Urine ::--. bad
5) Sweat - average
6) Sleep :- less, ( unmarried) , lies on left side ( rt side effected). Deep, Dreams -: Varities
7) Prefers winter season.
8) Desire for Salt, Sour, Chilli, hot++, sweet less, Onion, pepper ++.
9) Prefers loose clothings,
10) Answering sharp, Forgetful+ / no greater loss having,Seems tobe gentle .
MIASMATIC ANALYSIS
--------------------------------------------
Brother has congenital divergent BL strabismus -; that indicates Sycosis. Patients Tubercular infection done due to living in unhygienic condition ) poor economy, indicates Syphilitic' miasmatic effection upon psoric base .
TREATMENTS
------------------------------
First Prescription ( 04-08-18) R/ Ars Sulph Run == 0)1--0/3,--16 dose X 3 phail. Thrice daily ( The Organon AP 246)
BSMP ::-- Three miasm - plus- right cheat effection - plus- better to lie left side ( mainly covers Phosphorus , while Phos unusable in such cases, SO Ars / acute of Phos is safe) - plus thirsty at midnight . Medicine seems to be selected well, And in danger, THUS 50 milicemal potency from basic level choosen.
.
FOLLOW UP PRESCRIPTIONS
------------------------------------------------------
1) 26-11-2018 within this time with progressive improvements ASR applied upto 0/11.
Lab. inv dove ::-- Mantoux test 6c8 mm, USG while and NAD; T4--1'3;; T4 --8'37. TSH 3'68 Sugar Fasting 86, then 65 shown
Presently weight 46, offensive smell of mouth R/ PSORINUM 0/1--- 0/6 X 16 doses prescribed
2) 08-01-2019 ::-- 48 Kg, V Fre rt + ve; lies left,( Asaf 3. Calc 5. NitA 5, Par 5. Phos 6,. Sep 3,. Verat 3) rough yellow based tongue, No urging of urine at night .No anti sugar medicine since our treatments .
R/ Hepar Sulph 0/1--0/6. // 16X 6 doses
BSMP ::-- My first selection was upon the knowledges of Kent's mat Medo. Now H. S choosen acording to analysis of Kent's repertory on the rubrics of Desire for -: chilli, hot, , Thirsty at midnight == H S choosen.
3) 04--04-&2019 ::--. Rakes BL, Sugar normal as told, temp 97, 120/80, Wt 48. Nasal offensive smell - nil.
4) 04--08--2019 Bodyache, chest free , cold etc R/ R Tox 0/1-+0/4. .
5) 04__05__2019. Bodyache less but persisting, constipation burning eyes R/ NAT SUL 0/3, 0/5'--0/7--0/10.
6). 10--06--2019. VF ( rt) +ve;. Chest free Offensive nasal breath R) PSORIN 200,1000 Two doses 15 days intervals
======================================.
09--02--2020. ::-- Further bloody expectoration. symptoms same as above R) ARS ALB 3,6,. Eight X 2 doses, three hourly
21__02__2020. ::-- Further Haemoptysis, AFB + Ve as told. Sugar 96(f), TLC 6700, RBC -- 4'62 N-67,. Ly 30,. M-02, E--02, Hb 13.9 ESR 15, 57 kg 120/80 VFre BL. +ve
R/ ARS ALB 0/1-:0/4 , 16X 4 doses thrice daily .
=======================================
04_ 11-- _2021 Chilly , Thirstless, intolerance fanning,
Uneasiness of epigastrium/ abd.
Tongue-- dry, rough.
Lab inv::-- Total bili - 1'5, Sugar F 95,; RBC -5'16 Hb 15,7; TLC -9,0 N -63; L -28, M -08 E -06;. ESR 05. PCV) HEMECRIT 46'8(40--50)
PLAT--2-09
USG ::-- BULKY PANCREATIC TAIL ( 2,57 )
R/ ARS ALB 0/1---0/13 , Eight doses of Each potency upto Jan 2022.
FINAL COMMENTS ( 11--03--2023)
Today pt came crossing the ignorance to own health, poverty , with a CT Scan repost where Pancreas shown normal. Today forcefully eructing infront of me R/ AMBRA GRISEA 200 two plus two doses . And adv to come regularly even after a good relief to prevent the relapsing the problems etc. THANKSRead more
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